• Am J Emerg Med · May 2014

    Supine chest compression: alternative to prone ventilation in acute respiratory distress syndrome.

    • Sukhen Samanta, Sujay Samanta, and Kapil Dev Soni.
    • Department of Anesthesia & Critical Care (Trauma Centre), JPNA Trauma Centre, AIIMS, New Delhi 110029, India. Electronic address: dr.sukhensamanta@gmail.com.
    • Am J Emerg Med. 2014 May 1;32(5):489.e5-6.

    AbstractProne ventilation is usually used for severe acute respiratory distress syndrome. We applied an alternative method to prone position. We described 2 cases of trauma where prone position could not be done. Chest wall compression was performed by 2-kg weight in front of the chest wall bilaterally while the patient was in a supine position. Respiratory mechanics work to improve oxygenation almost as same as the mechanism proposed for prone position without any major adverse effects and serious complications. We suggest a larger randomized study to determine the efficacy and also to find out the optimum weight required to compress the chest.

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